Individual
MOLLY OLIVER REGELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3415 BAINBRIDGE AVE, PEDIATRIC ENDOCRINOLOGY & DIABETES, BRONX, NY 10467-2403
(718) 920-4664
(718) 405-5609
Mailing address
3415 BAINBRIDGE AVE, PEDIATRIC ENDOCRINOLOGY & DIABETES, BRONX, NY 10467-2403
(718) 920-4664
(718) 405-5609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
248611
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
248611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400442321
NYS DRIVER'S LICENCE ID
NY
Enumeration date
05/23/2008
Last updated
07/01/2016
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